Peri-implant Disease Flashcards
How many 20-49 year olds are missing 1+ tooth?
not including 3rd molars
69%
How many 20-49 year olds are missing 1+ tooth?
not including 3rd molars
69%
90% of people have ______ teeth remaining
24.9
How many teeth are needed for optimal function?
≥ 21
If a patient says they want an implant, what should you look at?
Perio disease - can’t placed if there’s perio disease
Bone space (need 1mm bone collar)
Cortical anatomy
If you have 6mm B-L distance, what is the largest implant you can place?
4mm
Need 1mm bone collar B-L
With this size, you have to make sure you have 8mm M-D width, so that you can have 2mm from adjacent teeth
What are stable/successful implant guidlines
Implant is immobile
No peri-implant radiolucency.pain/infection/neuropathy/paresthesia
How much bone loss is acceptable with an implant after the 1st functional year
0.2mm
Most implant bone loss is what type of bone loss?
Vertical
T/F - NEVER do an FPD that goes form implant to tooth
True
What are the two types of classifications of implant disease?
Biological classifications
Clinical classificaitons
Biological classifications of implant disease
Peri-implantitis (periodontitis-like)
Peri-implant mucositis (gingivitis-like)
Clinical classifications of implant disease
Ailing implant
Failing implant
Failed implant
Ailing implat
Mucositis-like
Treatable
Soft-tissue inflammation only
No bone loss
Failed implant
Heavy implantitis-like
Not treatable
Significant bone loss
Mobile
What is the primary etiologic factor for implant disease
Bacterial plaque (gram-)
What is the primary etiologic factor for implant disease
Bacterial plaque (gram-) + occlusal trauma
90% of people have ______ teeth remaining
24.9
How many teeth are needed for optimal function?
≥ 21
If a patient says they want an implant, what should you look at?
Perio disease - can’t placed if there’s perio disease
Bone space (need 1mm bone collar)
Cortical anatomy
If you have 6mm B-L distance, what is the largest implant you can place?
4mm
Need 1mm bone collar B-L
With this size, you have to make sure you have 8mm M-D width, so that you can have 2mm from adjacent teeth
What are stable/successful implant guidlines
Implant is immobile
No peri-implant radiolucency.pain/infection/neuropathy/paresthesia
How much bone loss is acceptable with an implant after the 1st functional year
Most implant bone loss is what type of bone loss?
Vertical
T/F - NEVER do an FPD that goes form implant to tooth
True
What are the two types of classifications of implant disease?
Biological classifications
Clinical classificaitons
Class 3 implantitis (Teacup)
Moderate to advanced horiontal bone loss with broad, circular bony defects
Clinical classifications of implant disease
Ailing implant
Failing implant
Failed implant
Ailing implat
Mucositis-like
Treatable
Soft-tissue inflammation only
No bone loss
Failing implant
Implantitis-like
Treatable
Some bone loss
Not mobile
Failed implant
Heavy implantitis-like
Not treatable
Mobile
What is the primary etiologic factor for implant disease
Bacterial plaque (gram-) + occlusal trauma
What is the secondary etiologic factor for implant disease?
Occlusal trauma
What is the difference between mucositis and gingivitis?
Pus and more bleeding
T/F - Peri-implantitis is more aggressive than periodontitis?
True
What is the difference in microbiota profile between natural teeth and implants? Why is this important?
Overlapping diversity common in both health and disease in natural teeth
Implants have different profiles in health and disease
Implant microbiota is different than natural teeth - need different treatment
What makes implantitis unique from periodontitis?
Lots of neutrophils around implant
There’s direct contact of plaque - no buffer zone like in natural teeth
What is the incidence of peri-implant disease?
5-27% of failing and failed implants have been in function for 5-10 years - up to 10% have implantitis
Early implant failure
Primary failure to osseointegrate - have to remove the implant and try again
Late implant failure
Implantitis
Can keep it, but we need to do a graft
Class 1 Implantitis
Slight horizontal bone loss with minimal peri-implant defects
Class 2 Implantitis
Moderate horizontal bone loss with isolated vertical defects
Class 3 implantitis (Teacup)
Moderate to advanced horiontal bone loss with broad, circular bony defects
Class 4 Implantitis
Advanced horizontal bone loss with broad, circumferential vertical defects, as well as the loss of oral and/or vestibular bony wall
What is the best treatment for peri-implant disease?
Prevention
